LIGHTHORSE PSYCHIATRY LLC
NPI 1699208777
Community/Behavioral Health in Saint Marys, GA

Q: What is Lighthorse Psychiatry LLC's NPI number?

The NPI number for Lighthorse Psychiatry LLC is 1699208777. It was assigned to this organization in the NPPES registry on April 6, 2017.

Q: What is Lighthorse Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 06, 2017

102 LAKESHORE DR STE B, SAINT MARYS, GA 31558(912) 882-3800(912) 882-3303 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lighthorse Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHORSE PSYCHIATRY LLC (NPI 1699208777) is a healthcare organization registered as a community/behavioral health in Saint Marys, Georgia and active in the NPI registry since April 2017. The organization lists Nina C Leonard, Aprn, as its authorized official.

NPPES Registry Identity

NPI1699208777

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLIGHTHORSE PSYCHIATRY LLC

Location Address102 LAKESHORE DR STE BSaint Marys, GA 31558-3875

Mailing Address102 Lakeshore Dr Ste BSaint Marys, GA 31558-3875 · (912) 882-3800 · Fax (912) 882-3303

Phone(912) 882-3800

Fax(912) 882-3303

Organization SubpartNo

Authorized OfficialNina C LeonardAprn · (912) 673-9907

Enumeration DateApril 6, 2017

Last NPPES UpdateDecember 2, 2020

NPPES CertifiedDecember 2, 2020

✔ NPI 1699208777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in GA · RN044413

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

102 LAKESHORE DR STE B, Saint Marys, GA 31558

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lighthorse Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lighthorse Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nina Leonard, CPNP-PC, PMHCNS-BC

Nurse Practitioner

NPI 1679877526

102 LAKESHORE DR STE B
Saint Marys, GA 31558

(912) 882-3800

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthorse Psychiatry LLC's NPI number?

The NPI number for Lighthorse Psychiatry LLC is 1699208777. It was assigned to this organization in the NPPES registry on April 6, 2017.

Where is Lighthorse Psychiatry LLC located?

Lighthorse Psychiatry LLC is located at 102 Lakeshore Dr Ste B, Saint Marys, GA 31558. The listed phone number is (912) 882-3800.

What is Lighthorse Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Lighthorse Psychiatry LLC enrolled in Medicare?

Yes. Lighthorse Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthorse Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lighthorse Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lighthorse Psychiatry LLC was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.